Influence of neighborhood environment walkability on mortality of Chinese residents and its pathway
10.16352/j.issn.1001-6325.2025.12.1632
- VernacularTitle:社区步行环境对中国居民死亡的影响及路径分析
- Author:
Mengxin CHEN
1
;
Mengya LI
;
Feiyun ZHANG
;
Haibin MA
;
Kai YOU
;
Bo HU
;
Wei LI
Author Information
1. 中国医学科学院 北京协和医学院 阜外医院 国家心血管病中心 国家心血管疾病临床医学研究中心,北京 102308
- Keywords:
mortality;
neighborhood environment walkability;
mediation analysis;
cohort study;
Cox frailty model
- From:
Basic & Clinical Medicine
2025;45(12):1632-1638
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the association between self-reported neighborhood walkability environments and mortality in China.Methods The Prospective Urban Rural Epidemiology study in China(PURE-China)recruited 47 931 participants aged 35-70 from 12 provinces in China between 2005 and 2009.Neighborhood environmental indicators were collected using the Neighborhood Environment Walkability Scale(NEWS)questionnaire,with higher scores indicating better walkable environments.The primary outcomes were all-cause mortality and cardiovascular mortality,using Cox fragile model to evaluate the association between community walkability and outcomes,as well as exploring mediating pathways.Results Of 35 490 participants included in this study,60%were female,with a mean(SD)age of 51.5(9.6)years.The median follow-up was 11.7 years.This study found an association between higher community walkability score and reduced risk of all-cause mortality,with the total score(HR=0.85;95%CI,0.80-0.89),land-use mix(HR=0.84;95%CI,0.79-0.88),and crime safety(HR=0.84;95%CI,0.80-0.89)showing the most significant associations.NEWS can affect long-term adverse outcomes through lifestyle.Conclusions In the Chinese population,favorable community walkability is associated with lower all-cause mortality risk,which may support policymakers to take actions to mitigate the adverse effects of poor community en-vironments on health.
